The Best Of…Music Reduces Alzheimer’s Patients’ Agitation

Published August 19, 2002, Pawtucket Times

        After not being home for two years, I traveled to Dallas to visit my family and to celebrate my 88-year old father’s birthday party last week.

        My trip was a bittersweet experience for me as I reconnected with my parents and siblings.  It was great to spend time and catch up with everyone, but I saw firsthand how Alzheimer’s Disease had ravaged, both physically and mentally, my 80-year-old mother, and I saw the impact the disease had on my family.

        My mother, who is in the mid-to-late stage of Alzheimer’s was largely unaware of recent events or even to who I was.

         There was no recognition of my brother or sisters, and many times she did not even recognize my father, who has been her husband for the past 60 years.

         My mother could not tell time on her watch,was not aware of what day it was or even where she lived.

         Moreover, the staff warned me of my frequent mood swings and that she could get agitated very quickly.

         However, some say “music calms the savage beast.”

         That may be true, and it’s most certainly true for victims of Alzheimer’s disease — soothing music can reduce agitation.  While Alzheimer’s robs a person of their memory or cognitive abilities, a timeless tune can reduce agitation and can have calming positive effects on Alzheimer’s patients, too.  This point was driven home to me following my visit to my mother’s 28-bed Alzheimer’s unit at Dallas-base Marriott Brighton Gardens.

         On Friday afternoons, Carrie A. Johns of Blue Rose Entertainment keeps things hopping in the Alzheimer’s unit’s television room with her music therapy program.

        Popping CDs into a compact disc player, Johns plays a continuous string of popular tunes from the early 1900s to the 1960s.  That day, about 20 songs were played, ranging from golden oldies to country and western and Broadway tuns.

       Johns chooses from 8,000 songs in her CD collection, and she often selects songs during her one-and-a-half-hour program that reflect memorable happy periods in the residents’ lives.

       Johns, who raises Arabian horses on a 12-acre ranch in Mabank, Teaxa, has a client list of more than 500 nursing facilities, assisted living facilities and senior centers in the Dallas-Fort Worth metroplex region.

       Swaying, Johns sings the Andrews Sisters’ 1942 hit “The Boogie Woogie Bugle Boy of Company C” into her microphone, residents Rose Grimes, Helen Webb and Francis  Donathan dance up a storm with Ashina Jackson, a personal care assistant, big smiles lighting up all of their faces.

       “It is a joy to make these residents happy when their families are not here,” Jackson tells me.  “I like to see their expressions when they remember the tunes. It’s like I’m going back to their time.”

         To the beat of the 1920s tune “in’t She Sweet,” Activity Director Dave Mandt dances with my mother.

         She belts out the song remembering all the words, not even missing a beat.

          Jane Atobajeun, special care manager, says music helps to calm the residents down.  While residents with Alzheimer’s disease don’t remember recent events — what they ate for lunch, for instance — they will remember songs that were once popular in distant eras, since they can retain long-term memory.

       “Music makes them laugh,” adds Atobajeun, noting that it “touches their very being and also triggers me memories and emotions.”

       According to Atobajeun, throughout the day residents can get frustrated if they can’t remember things.

       But singing makes them very happy because they remember the words.  Dancing can also get the residents up and moving, she adds, noting that even wheelchair-bound residents are assisted to stand and move.

       Throughout the program my father and I traded off dancing with my mother.  Several times, my smiling mother goes up to the microphone, and dances with Johns.

       You guessed it — she automatically knows every word of the song.  When the music ends, I say goodbye to my mother.

       knowing the challenges she faces with Alzheimer’s, I at least know that there is a brief period of pleasure in her life — at least twice a week when she attends the Alzheimer’s unit’s music program.

        Herb Weiss is a Pawtucket-based freelance writer covering aging, health care and medical issues.  This article was published in the August 19, 2002 Pawtucket Times.

Grandparents Take an Active role in Parenting and Caregiving

Published in Pawtucket Times on August 12, 2002

Susan Sweet, an elder rights advocate and a full-time consultant to nonprofit groups, has a jam-packed schedule that consumes much of her time.

However, the East Providence resident puts her two small grandchildren at the top of her schedule.

Grandparenting is the best time in Sweet’s life, who noted this role allows her to share both life experiences and wisdom with Zackary, age seven and a half and his sister Erika Lee, who is almost 10 months.

“My job as a grandparent is to expose Zackary and Erika Lee to things that they would not other wise be exposed to,” the 61-year-old Sweet says.

New experiences with the youngish grandmother include exposure to the world of music, art and cultural and ethnic diversity of the world.

With her grandchildren living on Cape Cod, Sweet keeps in constant contact through e-mail and telephone calls. Zachary visits grandma every two weeks, where she takes him out and about the Providence Children’s Museum, Waterfire and even to the aquarium in Mystic, Conn. Erika will get her turn to visit Sweet when she gets older.

“Grandparents are magical to their grandchildren,” especially those who don’t have the burden of everyday parenting responsibilities, Sweet insists. Moreover, the elder generation becomes the repository of a family’s history, where grandchildren can learn where they came from.

Like Sweet, grandparents across the nation are becoming actively involved with intergenerational parenting and caregiving, and this role is becoming more commonplace.

A newly released AARP study finds that aging baby boomers and seniors are taking a more active role in raising their grandchildren.

Almost half of those surveyed were under 50 when their first grandchild was born. The ages of those surveyed ranged from 45 6o 100 years, with a mean age of 64.

According to the AARP study, today’s grandparents believe they are teaching their grandchildren values and family history, entertaining them and listening to their problems.

About 68 percent of those surveyed see a grandchild every one or two weeks, and almost 24 percent say they see their grandchild from once a month to once every few months.

However, the study found that a principal barrier to more frequent contact was living too far away – almost 45 percent of the respondents said their grandchildren live more than 200 miles away from them. Another barrier to frequent contact was the grandchildren’s busy schedules (22 percent).

In those case, grandparents reach out and touch a loved one by phone – eight in 10 grandparents (80 percent) contacted a grandchild by telephone at least once every couple of weeks.  A smaller number (12 percent) reported using traditional mail  (i.e. letters, greeting cards, or videos) at least once every couple weeks, and 54 percent sent traditional mail at least every few  months.

The AARP survey found the most popular topics of conversation between grandparents and grandchildren are issues relating to school (84 percent), morals or values (78 percent), planning future visits (72 percent) and daily activities (72 percent).

However, conversations between grandparents and their grandchildren did not shy away from sensitive topics.

Almost 65 percent speak with their grandchildren about religion and spirituality. Conversations also centered on cigarettes (47 percent), alcohol (43 percent) and illegal drug use (45 percent). Almost a quarter (24 percent) said they talk with their grandchildren about sex.

Grandparents are also providing significant financial support for their grandchildren on a day-today basis. On average, grandparents report they spend $500 a year on their grandchildren with many spending money on their basic daily needs. About 52 percent provide financial help with the educational needs of their grandchildren, and almost 45 percent report they hep with living expenses. Meanwhile, about 25 percent say they assist with a grandchild’s medical expenses.

Fifteen percent of grandparents reported they provide child day-care services for their grandchildren to assist the working parent, nearly 24 percent of those also say they provide such care at least once a week to once every couple of weeks while the parents are not at work. Almost 80 percent who provide child care are looking after one or two grandchildren; another 17 percent care for as many as three or four grandchildren.

Finally, the survey finds that grandparents of all ages are involved in some form of physical activity with their grandchildren. More than half (53 percent) have exercised or played sports with their grandchildren within the past six months, and at least half in each age group engage in such activities with grandchildren.